Individual
MARIA MEDINA COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4925 SINGING HILLS DR, BANNING, CA 92220-6635
(949) 241-9653
Mailing address
4925 SINGING HILLS DR, BANNING, CA 92220-6635
(949) 241-9653
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00879291
CA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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